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vibegron

Phase 3

Overactive Bladder | Small molecule | Nephrology |Roivant Sciences Ltd.|Last Updated: Jun 15, 2026

Target and mechanism

Molecular targetADRB3
Target classAgonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment3,417

FDA Designations

No designations recorded

Clinical trial landscape

vibegron · 6 trials · 3 indications

Phase 3 4Phase 2 2
NCT04103450Extension Study of Vibegron in Men With Overactive Bladder (OAB) Symptoms on Pharmacological Therapy for Benign Prostatic HyperplasiaOveractive Bladder
COMPLETED276 Analytics
NCT03902080Study to Evaluate the Efficacy, Safety and Tolerability of Vibegron in Men With Overactive Bladder (OAB) Symptoms on Pharmacological Therapy for Benign Prostatic Hyperplasia (BPH)Overactive Bladder
COMPLETED1,105 Analytics
NCT03583372An Extension Study to Examine the Safety and Tolerability of a New Drug in Patients With Symptoms of Overactive Bladder (OAB).Overactive Bladder
COMPLETED506 Analytics
NCT03492281A Study to Examine the Safety and Efficacy of a New Drug in Patients With Symptoms of Overactive Bladder (OAB)Overactive Bladder
COMPLETED1,530 Analytics
PHASE3COMPLETED
Extension Study of Vibegron in Men With Overactive Bladder (OAB) Symptoms on Pharmacological Therapy for Benign Prostatic Hyperplasia
Overactive BladderUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Efficacy, Safety and Tolerability of Vibegron in Men With Overactive Bladder (OAB) Symptoms on Pharmacological Therapy for Benign Prostatic Hyperplasia (BPH)
Overactive BladderUnlock trial analytics
PHASE3COMPLETED
An Extension Study to Examine the Safety and Tolerability of a New Drug in Patients With Symptoms of Overactive Bladder (OAB).
Overactive BladderUnlock trial analytics
PHASE3COMPLETED
A Study to Examine the Safety and Efficacy of a New Drug in Patients With Symptoms of Overactive Bladder (OAB)
Overactive BladderUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Any Serious Adverse Event, and Treatment Emergent Adverse Event (>5%)
Up to Week 52

Adverse events were collected in participants from time each participant provided informed consent in parent study through Follow-up Visit (approximately 5 days after the last dose of study drug) in this extension study (URO-901-3006 \[NCT03902080\]). For the 28-Week Vibegron group, AEs recorded prior to initiation of vibegron (ie, while receiving placebo in the parent study) were reported as AEs in the parent study. An SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgement. A TEAE was defined as an adverse event which occurred on or after the first dose of study drug and no more than 30 days after the last dose of study drug. TEAE of \>5% has been reported.

Number of Participants With Clinically Significant Changes in Hematology Parameters
Up to Week 52

Blood samples were collected for the analysis of hematology parameters - Hematocrit, hemoglobin, platelet count, white blood cells (WBC \[total and differential\]), and red blood cells (RBC).

Number of Participants With Clinically Significant Changes in Chemistry Parameters
Up to Week 52

Blood samples were collected for the analysis of chemistry parameters - Albumin, alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), bicarbonate, calcium, chloride, creatininea, glucose (fasting or nonfasting), potassium, sodium, total bilirubin, direct bilirubin, blood urea nitrogen (BUN), and total cholesterol.

Number of Participants With Clinically Significant Changes in Urinary Parameters
Up to Week 52

Urine samples were collected for the analysis of urinary parameters- Blood, glucose, protein, specific gravity, microscopic exam (RBCs, WBCs, epithelial cells, and bacteria), potential of hydrogen (pH) and color

Number of Participants With Clinically Significant Changes in Coagulation Parameter
Up to Week 52

Blood samples were collected for the analysis of coagulation parameters- international normalized ratio (INR), prothrombin time (PT) and activated partial thromboplastin time (APTT).

Change From Baseline in Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP)
Baseline; Week 52

Blood pressure measurements were taken with the participant in the sitting position. Baseline is defined as the last recorded value on or prior to the date of randomization in the parent study URO-901-3005. Change from Baseline was calculated as maximum post-Baseline value minus Baseline value.

Change From Baseline in Heart Rate
Baseline; Week 52

Heart Rate was measured with the participant in the sitting position. Baseline is defined as the last recorded value on or prior to the date of randomization in the parent study URO-901-3005. CFB was calculated as maximum post-Baseline value minus Baseline value.

Change From Baseline at Week 12 in the Average Number of Micturition Episodes Per Day
Baseline; Week 12

Micturition was defined as the number of times a participant voided in the toilet as indicated on the Bladder Diary. Baseline was defined as the last non-missing result on or prior to the randomization date. Change from baseline was calculated as the post-baseline value minus the baseline value. Daily Averages were calculated as the sum of the event type on Complete Diary Days divided by the number of Complete Diary Days.

Change From Baseline at Week 12 in the Average Number of Urgency Episodes (Need to Urinate Immediately) Per Day
Baseline; Week 12

Urgency was defined as the number of times a participant checked that they had the need to urinate immediately as indicated on the Bladder Diary. Baseline was defined as the last non-missing result on or prior to the randomization date. Change from baseline was calculated as the post-baseline value minus the baseline value. Daily Averages were calculated as the sum of the event type on Complete Diary Days divided by the number of Complete Diary Days.

Number of Participants With the Indicated Type of Treatment-emergent Adverse Event
up to 56 weeks

Adverse events were collected in participants with overactive bladder (OAB) who previously completed treatment in Study RVT-901-3003. The treatment-emergent period was defined as the period of time from the first dose date of the active double-blind study treatment, whether in Study RVT-901-3003 or Study RVT-901-3004, through 28 days after the last dose of study treatment, or the date of initiation of another investigational agent or surgical intervention, whichever occurred first.

Change From Baseline (CFB) at Week 12 in the Average Number of Micturitions Per 24 Hours in All Overactive Bladder (OAB) Participants
Baseline (BL); Week 12

A micturition/void is defined as "Urinated in Toilet" as indicated on the Patient Voiding Diary (PVD). The number of micturitions is defined as the number of times a participant voided in the toilet as indicated on the PVD. The average daily number of micturitions was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of micturitions that occurred on a Complete Diary Day (CDD) divided by the number of CDDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures are study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL number of micturitions, and treatment by study visit interaction. FAS=Full Analysis Set.

CFB at Week 12 in the Average Number of Urge Urinary Incontinence (UUI) Episodes Per 24 Hours in OAB Wet Participants
Baseline; Week 12

The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CCDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), BL number of UUI episodes and treatment by study visit interaction. FAS-I=Full Analysis Set for Incontinence.

Change from Baseline in maximum cystometric capacity (MCC) based on bladder filling urodynamics
Optimized Treatment Week 24
Number of Irritable Bowel Syndrome (IBS) With Predominantly Diarrhea (IBS-D) Participants Who Were Abdominal Pain Intensity (API) Weekly Responders at Week 12
Baseline; Week 12

An API Weekly Responder was defined as a participant who experienced a decrease in the weekly average of "worst abdominal pain in the past 24 hours" scores of at least 30% compared with the Baseline weekly average. A participant was considered a responder over Weeks 1 to 12 if they met the criteria for at least 50% of the weeks assessed (i.e., ≥6 weeks).

Secondary Endpoints

Change From Baseline at Week 52 in the Average Number of Micturition Episodes Per Day
Baseline; Week 52
Change From Baseline at Week 52 in the Average Number of Urgency Episodes Per Day
Baseline; Week 52
Change From Baseline at Week 52 in the Average Number of Nocturia Episodes Per Night
Baseline; Week 52
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
VibegronEXPERIMENTALParticipants will receive 75 milligrams (mg) vibegron orally once daily (QD).
Vibegron 75 mgEXPERIMENTALParticipants will receive vibegron 75 milligrams (mg) orally once daily for 24 weeks.
PlaceboPLACEBO_COMPARATORParticipants will receive matching placebo orally once daily for 24 weeks.
Vibegron + Placebo to match TolterodineEXPERIMENTAL -
Tolterodine + Placebo to match vibegronACTIVE_COMPARATOR -
Placebo to match vibegron + Placebo to match TolterodinePLACEBO_COMPARATOR -
Cohort 1: Weight >=41.5kgEXPERIMENTALPart A: Participants will receive a dose of Vibegron based on their weight, with dose reduction based on individual clinical condition, PK, and safety/tolerability data. Participants may be dose-reduced up to 2 times. Part B: Participants will receive a Data and Safety Monitoring Board (DSMB)-selected Vibegron dose for their weight determined from participants in their respective cohort and weight band of Part A.
Cohort 2: Weight Range >=29.5 kg to <=41.4 kgEXPERIMENTALPart A: participants will receive a dose of Vibegron based on their weight, with dose reduction based on individual clinical condition, PK, and safety/tolerability data. Participants may be dose-reduced up to 2 times. Part B: Participants will receive a DSMB-selected Vibegron dose for their weight determined from participants in their respective cohort and weight band of Part A.
Cohort 3: Weight range >=11 kg to <=29.4 kgEXPERIMENTALPart A: Participants will receive a dose of Vibegron based on their weight, with dose reduction based on individual clinical condition, PK, and safety/tolerability data. Participants may be dose-reduced up to 2 times. Part B: Participants will receive a DSMB-selected Vibegron dose for their weight determined from participants in their respective cohort and weight band of Part A.

Interventions

NameTypeDescription
VibegronDRUGoral administration
PlaceboDRUGoral administration
placebosDRUGplacebo to match vibegron (experimental drug) and tolterodine (active comparator)
Tolterodine Tartrate ERDRUGsingle daily dose of 4 mg
Vibegron placeboDRUGplacebo to match vibegron (experimental drug)
Tolterodine placeboDRUGplacebo to match tolterodine (active comparator)
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Eligibility Criteria

Age Range45 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites35

Inclusion Criteria: * Participant has completed participation of the 24-week double-blind treatment period in Study URO-901-3005 (NCT03902080) and demonstrated compliance with the study procedures and study medication schedule in the opinion of the investigator. * Participant is capable of giving w...

Countries:United StatesPolandBelgiumCanadaHungaryLithuaniaPortugalSpainLatviaCroatiaDenmarkGeorgiaJordanMalaysiaPhilippinesRomaniaSerbiaSlovakiaTurkey (Türkiye)
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Frequently asked questions about vibegron

What is Vibegron used for?

Vibegron is a small molecule being developed for irritable bowel syndrome, overactive bladder, and neurogenic detrusor overactivity. It is currently in Phase 2 clinical development for these indications, with the most advanced trials being Phase 3 studies in overactive bladder that have already been completed.

Who makes Vibegron?

Vibegron is being developed by Roivant Sciences Ltd., a biopharmaceutical company traded on the stock exchange under the ticker symbol ROIV. The company is conducting clinical trials to evaluate the drug's safety and efficacy across multiple urological and gastrointestinal conditions.

What phase is Vibegron in?

Vibegron is currently in Phase 2 clinical development. While several Phase 3 trials for overactive bladder have been completed, the drug remains investigational and is not yet approved by regulatory authorities. An active Phase 2 trial is recruiting pediatric patients with neurogenic detrusor overactivity.

What clinical trials is Vibegron in?

Vibegron has been studied in four clinical trials. Completed Phase 3 trials include NCT03492281 and NCT03902080 for overactive bladder, plus extension study NCT04103450. An ongoing Phase 2 trial, NCT05491525, is recruiting pediatric patients aged 2 to under 18 years with neurogenic detrusor overactivity.

Is Vibegron the same as any other drug?

Vibegron is a distinct investigational small molecule developed by Roivant Sciences. It is not known to be marketed under any alternative names. The drug is being evaluated for its potential to treat overactive bladder, irritable bowel syndrome, and neurogenic detrusor overactivity.

How does Vibegron work?

Vibegron is a small molecule that acts as a beta-3 adrenergic receptor agonist, which helps relax the detrusor muscle of the bladder, increasing bladder capacity. This mechanism is being studied for its effects on overactive bladder and related conditions, though the specific molecular target for irritable bowel syndrome has not been detailed.